Individual
JIN S CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9046 COLUMBIA AVE, MUNSTER, IN 46321-2905
(219) 836-1440
(219) 836-1490
Mailing address
9046 COLUMBIA AVE, MUNSTER, IN 46321-2905
(219) 836-1440
(219) 836-1490
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01024136A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168540A
—
IN
Enumeration date
02/10/2006
Last updated
01/28/2008
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